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existing data sources gathering and maintaining the data needed and co


44444444444444This agency may not collect thisinformationandyouarenotrequiredtocompletethisformunlessitdisplaysacurrentlyvalidcontrolnumberSemiAnnual Performance ReportUS Department of Housing and Urb

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REFERENCES
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Users Guide englishBTL7S5
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wwwballuffcom3Approvals and markingsAbbreviationsExplanation31of the warningsPreparing for installationInstallation recommendation for hydraulic cylindersShielding and cable routingSynchronous and asy

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Behaviours Observed Checklist         1 of 2 Public Services Health an
Behaviours Observed Checklist 1 of 2 Public Services Health an

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Health and Wellbeing Board Procedure Rules
Health and Wellbeing Board Procedure Rules

HRWC-CELS-036846/ 04754188Page 1of 11Application of theseRules11These rules apply to the Harrow Health and Wellbeing Board which was set up in accordance with S102 Local Government Act 19732and S194 H

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OIA Correspondence Walbridge Anne Com ms x0000 Ell
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FOR EMPLOYING OFFICE USE ONLY
FOR EMPLOYING OFFICE USE ONLY

IVSIGNATURESTOP SOME OR ALL OF YOURCONTRIBUTIONSYOUR CONTRIBUTIONSYour choice will cancelall previous electionsINFORMATIONABOUT YOUUse this form to start stop or change the amount of your contributio

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1 4 4 4 4 4 4 4 4 4 4 4 4 4 4
4 4 4 4 4 4 4 4 4 4 4 4 4 4 existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information,andyouarenotrequiredtocompletethi sform,unlessitdisplaysacurrentlyvalidcontrolnumber. Semi Annual Performance Report U.S. Department of Housing and Urban Development OMB Approval Multifamily Housing Service Coordinator Program Office of Housing Federal Housing Commissioner Public reporting burden for this collection of information is estimated to average or reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information and you are not required to complete this form, unless it displays a currently valid control number. Instructions: See pages 3 - 5 for detailed instructions. 1. 2.S Hire date: _____/_____/__________ Email address: 3. Page of �.�3�H�R�S�O�H��6�H�U�Y�H�G.�5�H�V�L�G�H�Q�W��$�J�H��5�D�Q�J�H�V������������Ag�H�������� �L��H����Q�R�Q��H�O�G�H�U�O�\��S�H�R�S�O�H��Z��G�L�V�D�E�L�O�L�W�L�H�V�\f����������������Age 62������������������������Age 81��� Over 96 b. (ADL)) (ADLs)) c.Number of ove Form HUD������������� Name: Phone w/ area code: Project Rental Assistance Project (PRAC) Receipts Section 236 Excess Income Section 8 Operating Funds (check all that apply) Number of weekly hrs project: 4.Project nformation Project NameStreet Name# of Residents Number of Project Residents % of Total . 1 - �-�X�Q�H���, 20___ �-�X�O�\ 1 - �'�H�F. 3�, 20___ Number SC Assisted All other project residents Type At Risk Elders Neighborhood residents Debt Service Savings EL Type of Service Coordination Performed (caRtRIZIIIIIIRIGlossary of Service Types) [For each service, provide the number of SUdiFVEQ3CHJKERUKFRGUI-MG-13N2 KRP FOCITAMINCECCUP 8EL Aging in Place Statistics IFUResidents : KRO RYH3I2 XVIRI OK-C3 UMFV14 XUgJVHS FSR1013RFICEI a 1111-MGHO)la KR[P RYHMIRD[KLI KHJKINYHD El Form HUDEMIIIMICIII EL Type of Service Coordination Performed (caRtRIZIIIIIIRIGlossary of Service Types) [For each service, provide the number of SUdiFVEQ3CHJKERUKFRGUI-MG-13N2 KRP FOCITAMINCECCUP 8EL Aging in Place Statistics IFUResidents : KRO RYH3I2 XVIRI OK-C3 UMFV14 XUgJVHS FSR1013RFICEI a 1111-MGHO)la KR[P RYHMIRD[KLI KHJKINYHD El Form HUDEMIIIMICIII Advocacy Assessments Benefits/Entitlements Case Management Conflict Resolution Crisis Intervention/ Support Counseling ucation/Employment Meals Mental Health Services Monitoring Services Substance Abuse Tax Assistance Translation/Interpretation Transfer to Alternative Housing Transportation Other (specify) Outreach Family Support General Info/Referral Health Care Services Homemaker Home Management Isolation Intervention �.Type of Service Coordination Performed� For each service, provide the number of �S�U�R�M�H�F�W��D�Q�G��Q�H�L�J�K�E�R�U�K&

2 #0;R�R�G��U�H�V�L&
#0;R�R�G��U�H�V�L�G�H�Q�W�V��Z�K�R�P��\�R�X��D�V�V�L�V�W�H�G��D�Q�G��Q�X�P�E�H�U��R�I��F�R�Q�W�D�F�W�V��\�R�X��P�D�G�H��&�R�X�Q�W��W�K�H��L�Q�G�L�Y�L�G�X�D�O�V��R�Q�O�\��R�Q�F�H���E�X�W��S�U�R�Y�L�G�H��W�K�H��W�R�W�D�O��Q�X�P�E�H�U��R�I��F�R�Q�W�D�F�W�V��I�R�U��H�D�F�K��L�Q�G�L�Y�L�G�X�D�O� residents only once Legal Assistance Lease Education (Listapproximate%oftimepermonthyouperformthesetasks.Sumofallshouldequal100%) % Documentationofresidentfiles % Contactwithoutsideserviceproviders % Meetingswithmanagementstaff % Page of % Service/�$�F�W�L�Y�L�W�L�H�V�# �,�Q�G�L�Y�L�G�X�D�O�V# Contacts % % . .Aging in Place StatisticsResidents Number of residents who died Number Number of residents whomovedin with family Other Move-Out Reasons This Reporting Period Last Reporting Period Number of residents evicted Total number of move-outs Form HUD������������� (c�O�L�F�N��R�Q��W�L�W�O�H��I�R�U��*�O�R�V�V�D�U�\��R�I��6�H�U�Y�L�F�H��7�\�S�H�V) Service/ # Individuals Number of residents who moved in with family Other # Contacts Fair �+ousing and Civil Rights��$ssistance Resident Councils Tax �3reparation �6ervices Translation/Interpretation �3�O�H�D�V�H��U�H�V�S�R�Q�G��W�R��W�K�H��I�R�O�O�R�Z�L�Q�J��L�W�H�P�V ��.Educational / �3�U�H�Y�H�Q�W�D�W�L�Y�H��+�H�D�O�W�K Programs List the emented for residents during this reporting period. ���)�X�Q�G�U�D�L�V�L�Q�J Fundraising activities are .Professional Training List the training programs you attended during this reporting period. Provid .Resident Problems / Issues Provide anecdotes (no more than two parag .Community Engagement List meetings or visits with community partners and attendance at or planning of community events that en Page of �. % % Provide any other information relevant to the administration and performance of the Service Coordinator Program. Provide any recommended "Best Practices" you have found to be effective in providing service coordination and promoting independent living for residents. Time Allocation of Monthly TasksTasks�������\b��������������������\����������������������������������������������H�T�X�D�O�����\b�\f�Contact with outside service provide Direct contact with project and neighborhood residents Researching available s Documentation of resident files Other Meetings with property management staff Total 100% % % Service Coordinator's Name Date Additional Information �.Professional Training����'�X�U�D�W

3 �L�R�Q�� �K�R�X
�L�R�Q�� �K�R�X�U�V��R�U��G�D�\�V�\f����List the training programs you attended during this reporting period. Provid�H��W�K�H��Q�D�P�H��R�I��W�K�H��W�U�D�L�Q�L�Q�J��S�U�R�Y�L�G�H�U��D�Q�G��S�U�R�J�U�D�P���L�W�V��O�R�F�D�W�L�R�Q������Q�X�P�E�H�U��R�I��K�R�X�U�V���D�Q�G��W�K�H��Q�X�P�E�H�U��R�I��F�R�Q�W�L�Q�X�L�Q�J��H�G�X�F�D�W�L�R�Q��K�R�X�U�V��H�D�U�Q�H�G� ��.Educational / �3�U�H�Y�H�Q�W�D�W�L�Y�H��+�H�D�O�W�K Programs�����List the �S�U�R�J�U�D�P�V��\�R�X��L�P�S�Oemented for �S�U�R�M�H�F�W��D�Q�G��R�U��Q�H�L�J�K�E�R�U�K�R�R�G�residents during this reporting period. ����)�X�Q�G�U�D�L�V�L�Q�J�����Fundraising activities are��R�S�W�L�R�Q�D�O���E�X�W��L�I��\�R�X��K�D�Y�H��H�Q�J�D�J�H�G��L�Q��D�Q�\��D�F�W�L�Y�L�W�L�H�V��G�X�U�L�Q�J��W�K�H��U�H�S�R�U�W�L�Q�J��S�H�U�L�R�G���S�O�H�D�V�H��O�L�V�W��W�K�H�P� 1�.Community Engagement�����List meetings or visits with community partners and attendance at or planning of community events that en�F�R�X�U�D�J�H��L�Q�W�H�U�D�F�W�L�R�Q��E�H�W�Z�H�H�Q��W�K�H��������F�R�P�P�X�Q�L�W�\��D�Q�G��S�U�R�M�H�F�W��U�H�V�L�G�H�Q�W�V� ��.Resident Problems / Issues�����Provide anecdotes (no more than two par�D�J�U�D�S�K�V��H�D�F�K�\f��G�H�V�F�U�L�E�L�Q�J��W�Z�R��U�H�V�L�G�H�Q�W��L�V�V�X�H�V��Z�L�W�K��Z�K�L�F�K��\�R�X��Z�H�U�H��L�Q�Y�R�O�Y�H�G��G�X�U�L�Q�J��W�K�L�V��U�H�S�R�U�W�L�Q�J�������S�H�U�L�R�G� ����$�G�G�L�W�L�R�Q�D�O��,�Q�I�R�U�P�D�W�L�R�Q�����Provide any other information relevant to the administration and performance of the Service Coordinator Program. Provide any �����recommended "Best Practices" you have found to be effective in providing service coordination and promoting independent living for residents. Instructions for Completing Form HUD-92456 General: 1 10ER X\A submit thisq 51FaRN-1311:40.1:111VAXIMR.10 SHRGIII7KH13FLMFECI q &KI-FNIr1 FEW FLY1F1-113DYIQJVI1m5 RvIGKIII6FR-ISWITRE61-FINOTHATO [ Fl-It/WCFFP HUN RX

4 IIEFDC1- 8' [R11 q &KFFNI6 FBECIEIr I ;
IIEFDC1- 8' [R11 q &KFFNI6 FBECIEIr I ; FR0/07[01111[35 $ &[RS1-1=11111XCraililiN FCCETFDC* 8' [RI I IFHXDADSSIRA-1311gH131-1]1FH FIA4 o RJEMIQ WWI XP 11111111 ' QI)UDIMITE Ramman nonia [S. / vrmiScu$vmsmovat Ra-CZ FIRM:Ma EXSAISHJFIP IQJA:WM R$q \t Instructions for Completing Form HUD-92456 General: 1 10ER X\A submit thisq 51FaRN-1311:40.1:111VAXIMR.10 SHRGIII7KH13FLMFECI q &KI-FNIr1 FEW FLY1F1-113DYIQJVI1m5 RvIGKIII6FR-ISWITRE61-FINOTHATO [ Fl-It/WCFFP HUN RXIIEFDC1- 8' [R11 q &KFFNI6 FBECIEIr I ; FR0/07[01111[35 $ &[RS1-1=11111XCraililiN FCCETFDC* 8' [RI I IFHXDADSSIRA-1311gH131-1]1FH FIA4 o RJEMIQ WWI XP 11111111 ' QI)UDIMITE Ramman nonia [S. / vrmiScu$vmsmovat Ra-CZ FIRM:Ma EXSAISHJFIP IQJA:WM R$q \t Instructions for Completing Form HUD-92456 General: �6�H�U�Y�L�F�H��&�R�U�G�L�Q�D�W�R�U�V��Z�K�R�V�H��S�R�V�L�W�L�R�Q�V��D�U�H��S�D�L�G��E�\��D�Q�\��R�I��W�K�H��I�X�Q�G�L�Q�J��V�R�X�U�F�H�V��O�L�V�W�H�G��L�Q��L�W�H�P�����P�X�Vt submit this�6�H�U�Y�L�F�H��&�R�R�U�G�L�Q�D�W�R�U�V��P�X�V�W��I�L�O�O��R�X�W��W�K�H��I�R�U�P���U�H�V�S�R�Q�G��W�R��D�O�O��T�X�H�V�W�L�R�Q�V��R�Q��W�K�H��U�H�S�R�U�W���S�U�R�Y�L�G�H��W�K�H�L�U��Q�D�P�H��D�Q�G��W�K�H� Page of Form HUD������������� Multiple Service Coordinators, Projects, and Grants 5. Indicate the number of residents in each categor you assisted in any way durng the reporting period. Do not count residentstwice. Regardless of the amount of time spent assisting one resident, only count that individual once. The total of the four categories in Method of Submission It is preferred that you complete items 1 through 8 on the form on your computer and create a text file that contains brief responses to items 9 through 14. Email both files together in one email to your representative in the HUD field office that services your project. If you are unable to create or email electronic files, you may complete and submit a hard paper copy to your local HUD representative. *If one project has multiple Service Coordinators, each Service Coordinator should submit his/her own report.*If one Service Coordinator serves multiple projects, submit one report per project. *If one Service Coordinator position is supported by two or more grants*If a Service Coordinator leaves his/her job during a repoting period, he or she must complete aperformance re Specific Instructions for Each Item: Reporting Period: All Service Coordinators must submit this Report according to the Federal Fiscal Year dates. The reportingperiods are October 1 through March 31 and April 1 through September 30. Your Report is due to your local Field Office 30 days after the end of the reporting period, i.e. April 30 and October 30, respectively. Fill in the two-digit year on March 31 or September 30. email address. Provide in this position. Indicate the number of hours you work each week at the project listed in item #4. Source of Funds for the Service Coordinator.Indicate all sources of HUD funding that are used to pay for your positio

5 n. Many projects do use a combination o
n. Many projects do use a combination of sources. f your position is supported by a HUD grant, check the "Grant" box and provide the grant number(s). The middle four digits of this number must begin with: "C93", "C94", "CS", OR "HS". An example is OK56HS02002. Do not provide your project's Section 8 number (e.g. OK56H789021).*Check "Debt Service Savings", "Resid*Check "Section 8 or Section 202 PRAC operating funds" if your local HUD office *Check multiple boxes if you use two or more HUD sources of funds to pay for your program. For example, many Project Information. Provide the name HUDIVdefin118/0RIADLs ICHIG-MAating, dressing, bathing, grooming, and transferring, as further described below: q P Da1111-1-11FFMMECDMANI-LItHIMAJUI-13MJERP P XCIIWIDCalKRZ IP Da 11:12111130(911DUIVRY1411-1371 six months ("New move-ins") and those who have lived in the XP EFLIFIc0311130(9t1FROXPCMho received that service during the reporting period. Provide the number of contacts 1HAZIINSCHINAG-101611-1-111P HVIDCRAI-111 KIEF17070115 Fl Rirann-ri (IMAM IRIS FLIER/ \ ARID( SOCIaiRCIAIMIA EP SOAR q a 71P H$GIRFDIROFRIM Ralte[71:14/WirList the approximate FUIM-LEUI-t% of time per month you spent performing the listed tasks. MI Form HUDIEMDIDIMOD q of o HUDIVdefin118/0RIADLs ICHIG-MAating, dressing, bathing, grooming, and transferring, as further described below: q P Da1111-1-11FFMMECDMANI-LItHIMAJUI-13MJERP P XCIIWIDCalKRZ IP Da 11:12111130(911DUIVRY1411-1371 six months ("New move-ins") and those who have lived in the XP EFLIFIc0311130(9t1FROXPCMho received that service during the reporting period. Provide the number of contacts 1HAZIINSCHINAG-101611-1-111P HVIDCRAI-111 KIEF17070115 Fl Rirann-ri (IMAM IRIS FLIER/ \ ARID( SOCIaiRCIAIMIA EP SOAR q a 71P H$GIRFDIROFRIM Ralte[71:14/WirList the approximate FUIM-LEUI-t% of time per month you spent performing the listed tasks. MI Form HUDIEMDIDIMOD q of o �$�J�L�Q�J��L�Q��3�O�D�F�H��6�W�D�W�L�V�W�L�F�V�� Provide the number of project residents who left the project during the reporting period.Residents counted in this section must have been residents of the project at the time of their departure. Do not count neighborhood residents. Provide the number HUD wants to know how the Service Coordinator program affects aging-in-place. Include the numbers from the last report as a comparison. You'll do this on each subsequent report. � �.�7�L�P�H��$�O�O�R�F�D�W�L�R�Q��R�I��0�R�Q�W�K�O�\��7�D�V�N�V�� List the approximate % of time per month you spent performing the listed tasks.Add others if appropriate. Sum of all should equal 100% of your *Contact with outside service providers. Includes any activity related to obtaining information about or advocating foraffordable supportive services or assistance for residents. Such activity may include telephone conversations, face-to-facemeetings, coalition or task force meetings, or working groups. groups.����������R�Q�H��R�Q��R�Q�H��P�H�H�W�L�Q�J�V���L�Q�I�R�U�P�D�O��F�R�Q�Y�H�U�V�D�W�L�R�Q���Z�K�L�O�H��F�R�Q�G�X�F�W�L�Q�J��Q�H�H�G�V��V�F�U�H�H�Q�L�Q�J�V���R�U��D�W��H�G�X�F�D�W�L�R�Q�D�O��S�U�R�J�U�D�P��J�D�W�K�H�U�L�Q�

6 J�V�Page of eating, dressing, b
J�V�Page of eating, dressing, bathing, grooming, and transferring, as further described below: (1) Eating--may need assistance with cooking, preparing, or serving food, but must be able to feed self; (2) Bathing--may need assistance in getting in and out of the shower or tub, but must be able to wash self; (3) Grooming--may need assistance in washing hair, but must be able to take care of personal appearance; (4) Dressing--must be able to dress self, but may need occasional assistance; (5) Transferring---actions such as going from a seated to standing position, getting in and out of bed, and using the toilet. Provide the number of low-income elderly or people with disabilities who in the neighborhood assisted during reporting period (if any). 5d. Provide the number of project assisted for the first time during the reporting period. Make a distinction between those who moved in within the last six months ("New move-ins") and those who have lived in the project or but only started coming to you for assistance during this reporting period. Type of Service Coordination Performed. For each of the listed services, provide the of project the number of Count individuals once but report each contact with that one person. For example, you assisted three project residentobtaining transportation services during the reporting period. FFXP 1CRA6AI CNViFFP SUN3JURAI-UKIIIP awaaHahui= U-MG-WiliDhk EXDJ I-P FORMAI agF01G-MP q o 3 1:61-1Z RNERNI-ONGIRIDA-M0-0MCFMCFMIX1 11-ISRLIVE MCORP Call FP KIWI I EUSFIYINFLIAIRISH-LIM FON q 5 FM-11RM] IMICIEOINHUIFMMCFMCHAIF HASHWM-1:11F11Q1 IRISIRJ UP En RIP affliaROVIHQOACINIE SKRCH q 2 1111-111 RX[SFURP CRA1HUZ RRFICraP ROATOCEDWPSODvHIDANKFlifiaDCGSFLFH5111H q Please attach a Microsoft Word (or other text file) that contains brief responses to items 9-14. Your report is not D. 3 LRIFIWIRCOCIFLIIQLCUn XLEURCITICRXUPRUZCA VUil List the F-K1 Efftraining programs you attended during this q' XLICAMIKWILVIUM 7Ing(11 EsavoartrimacccimaA- 8 • NCO CCDJI-P DOD Educational DOW Page III of III FFXP 1CRA6AI CNViFFP SUN3JURAI-UKIIIP awaaHahui= U-MG-WiliDhk EXDJ I-P FORMAI agF01G-MP q o 3 1:61-1Z RNERNI-ONGIRIDA-M0-0MCFMCFMIX1 11-ISRLIVE MCORP Call FP KIWI I EUSFIYINFLIAIRISH-LIM FON q 5 FM-11RM] IMICIEOINHUIFMMCFMCHAIF HASHWM-1:11F11Q1 IRISIRJ UP En RIP affliaROVIHQOACINIE SKRCH q 2 1111-111 RX[SFURP CRA1HUZ RRFICraP ROATOCEDWPSODvHIDANKFlifiaDCGSFLFH5111H q Please attach a Microsoft Word (or other text file) that contains brief responses to items 9-14. Your report is not D. 3 LRIFIWIRCOCIFLIIQLCUn XLEURCITICRXUPRUZCA VUil List the F-K1 Efftraining programs you attended during this q' XLICAMIKWILVIUM 7Ing(11 EsavoartrimacccimaA- 8 • NCO CCDJI-P DOD Educational DOW Page III of III ��Educational��D�Q�G��3�U�H�Y�H�Q�W�D�W�L�Y�H��+�H�D�O�W�K��3�U�Rgrams. List the programs you developed and/or implemented for�S�U�R�M�H�F�W��D�Q�G��R�U��Q�H�L�J�K�E�R�U�K�R�R�G�residents during this reporting period. Provide the name or topic of each program only and�Jive the��Dpproximate number of �L�Q�G�L�Y�L�G�X�D�O�V who attended. ��,�Q�G�L�F�D�W�H��Z�K�H�W�K�H�U��H�Y�H�Q�W�V��Z�H�U�H��R�Q�H��W�L�P�H��R�Q�O�\��R�U��R�Q�J�R�L�Q�J��S�U�R�J�U�D�P�V�Examples of such programs are talks on osteoporosis, nutrition, or�access

7 ibility issues for people with d�L�
ibility issues for people with d�L�V�D�E�L�O�L�W�L�H�V���ł�E�U�R�Z�Q��E�D�J�´��P�H�G�L�F�D�W�L�R�Q��P�H�H�W�L�Q�J�V��Z�L�W�K��S�K�D�U�P�D�F�L�V�W�V���R�U�remembrance�groups. �\r�'�R�F�X�P�H�Q�W�D�W�L�R�Q��R�I��U�H�V�L�G�H�Q�W��I�L�O�H�V���,�Q�F�O�X�G�H�V��D�Q�\��Q�R�W�H�V��\�R�X��P�D�N�H���I�R�U�P�V��F�R�P�S�O�H�W�H�G���R�U��R�W�K�H�U��L�Q�I�R�U�P�D�W�L�R�Q��H�Q�W�H�U�H�G��L�Q�U�H�V�L�G�H�Q�W��I�L�O�H�V��\r�0�H�H�W�L�Q�J�V��Z�L�W�K��S�U�R�S�H�U�W�\��P�D�Q�D�J�H�P�H�Q�W��V�W�D�I�I����,�Q�F�O�X�G�H�V��P�H�H�W�L�Q�J�V��Z�L�W�K��V�L�W�H��P�D�Q�D�J�H�U��R�U��D�G�P�L�Q�L�V�W�U�D�W�R�U���V�X�S�H�U�Y�L�V�R�U��R�W�K�H�U��S�U�R�S�H�U�W�\��P�D�Q�D�J�H�P�H�Q�W��V�W�D�I�I���R�U��D�Q�\��R�W�K�H�U��U�H�O�D�W�H�G��P�H�H�W�L�Q�J��\r�3�D�S�H�U�Z�R�U�N��Q�R�W��U�H�O�D�W�H�G��W�R��D��U�H�V�L�G�H�Q�W����,�Q�F�O�X�G�H�V��D�Q�\��U�H�S�R�U�W�V��Z�U�L�W�W�H�Q��I�R�U��P�D�Q�D�J�H�P�H�Q�W��V�W�D�I�I���V�X�S�H�U�Y�L�V�R�U�V���R�U��S�H�H�U�V��$�O�V�R��U�H�O�H�Y�D�Q�W��L�V��S�D�S�H�U�Z�R�U�N��U�H�O�D�W�H�G��W�R��U�H�J�L�V�W�H�U�L�Q�J��I�R�U��W�U�D�L�Q�L�Q�J���D�U�U�D�Q�J�L�Q�J��W�U�D�Y�H�O���R�U��S�X�U�F�K�D�V�L�Q�J��V�X�S�S�O�L�H�V��R�U��H�T�X�L�S�P�H�Q�W��\r�5�H�V�H�D�U�F�K�L�Q�J��D�Y�D�L�O�D�E�O�H��V�H�U�Y�L�F�H�V����,�Q�F�O�X�G�H�V��W�L�P�H��V�S�H�Q�W��V�H�D�U�F�K�L�Q�J��I�R�U��S�U�R�J�U�D�P��L�Q�I�R�U�P�D�W�L�R�Q��R�Q��W�K�H��,�Q�W�H�U�Q�H�W���E�\��S�K�R�Q�H��U�H�D�G�L�Q�J��O�L�W�H�U�D�W�X�U�H���D�Q�G��P�H�H�W�L

8 �Q�J��Z�L�W�K�
�Q�J��Z�L�W�K��N�Q�R�Z�O�H�G�J�H�D�E�O�H��S�U�R�I�H�V�V�L�R�Q�D�O�V��\r�2�W�K�H�U����,�I��\�R�X��S�H�U�I�R�U�P��R�W�K�H�U��Z�R�U�N��R�Q��D��P�R�Q�W�K�O�\��E�D�V�L�V���S�O�H�D�V�H��O�L�V�W��I�X�Q�F�W�L�R�Q��D�Q�G��S�H�U�F�H�Q�W�D�J�H��R�I��W�L�P�H� �.�3�U�R�I�H�V�V�L�R�Q�D�O��7�U�D�L�Q�L�Q�J��'�X�U�D�W�L�R�Q�� �K�R�X�U�V��R�U��G�D�\�V�\f�\r. List the �H�O�L�J�L�E�O�H�training programs you attended during thisreporting period. Provide the following information for each program �\�R�X�attended:��\rName of the training program�\rName of sponsoring organization that planned and executed the training�� �L��H���W�U�D�L�Q�L�Q�J��S�U�R�Y�L�G�H�U�\f�\rLocation�\r�'�X�U�D�W�L�R�Q�� �K�R�X�U�V��R�U��G�D�\�V�\f�\rNumber of �W�U�D�L�Q�L�Q�J�hours �F�R�P�S�O�H�W�H�G�\r���7�U�D�L�Q�L�Q�J��S�X�U�V�X�D�Q�W��W�R��J�X�L�G�D�Q�F�H��L�Q��+�8�'�\n�V��0�D�Q�D�J�H�P�H�Q�W��$�J�H�Q�W��+�D�Q�G�E�R�R�N���������5�(�9����&�+�*�����&�K�D�S�W�H�U���������)�L�U�V�W��W�L�P�H��6�H�U�Y�L�F�H��&�R�R�U�G�L�Q�D�W�R�U�V��P�X�V�W��F�R�P�S�O�H�W�H�����K�R�X�U�V��L�Q��W�K�H��I�L�U�V�W��\�H�D�U��R�I��H�P�S�O�R�\�P�H�Q�W��D�V��D��6�H�U�Y�L�F�H��&�R�R�U�G�L�Q�D�W�R�U�����X�Q�O�H�V�V��W�K�H�\��K�D�Y�H��U�H�F�H�L�Y�H�G��U�H�F�H�Q�W��U�H�Y�H�O�D�Q�W��W�U�D�L�Q�L�Q�J����$�O�O��R�W�K�H�U��6�H�U�Y�L�F�H��&�R�R�U�G�L�Q�D�W�R�U�V��P�X�V�W��F�R�P�S�O�H�W�H�����K�R�X�U�V��R�I��H�O�L�J�L�E�O�H����W�U�D�L�Q�L�Q�J��H�D�F�K��\�H�D�U�����Form HUD������Page � of �������� items 9-14. Your EEL Fundraising. List RSAIR:COundraising activities, if any, completed airing this reporting period. Provide the Qame Examples of items that you might assist in fundraising include but are not limited

9 to: Another part-time Service Coordinato
to: Another part-time Service Coordinator or aideSRANC) Examples of items that you should not directly engage in fundraising activities 11;1114r-al'at Holiday parties Cof caMiaNiNDHCFRUIJ HICAILICRIRaEl-RiliFFIXAHJU-DAUFRP P XCIW[CalS1.1100Oin III:, • I V&ICI2CCFFIDAFRP P XCIW[FUCCII DIRIHYHOWIEVE FNE111? CN-11=M-LI U-DAUFRP P XCIAICE DJ-tFf FDOSIRSHLIVE 1 D. Resident Problems/Issues. Provide anecdotes (no more than two paragraphs each) describing two resident uIIi 11114 Page nof q \t17011707070=1707071 EEL Fundraising. List RSAIR:COundraising activities, if any, completed airing this reporting period. Provide the Qame Examples of items that you might assist in fundraising include but are not limited to: Another part-time Service Coordinator or aideSRANC) Examples of items that you should not directly engage in fundraising activities 11;1114r-al'at Holiday parties Cof caMiaNiNDHCFRUIJ HICAILICRIRaEl-RiliFFIXAHJU-DAUFRP P XCIW[CalS1.1100Oin III:, • I V&ICI2CCFFIDAFRP P XCIW[FUCCII DIRIHYHOWIEVE FNE111? CN-11=M-LI U-DAUFRP P XCIAICE DJ-tFf FDOSIRSHLIVE 1 D. Resident Problems/Issues. Provide anecdotes (no more than two paragraphs each) describing two resident uIIi 11114 Page nof q \t17011707070=1707071 �. Community EngagementList meetings �Z�L�W�K��V�H�U�Y�L�F�H��S�U�R�Y�L�G�H�U�V��D�Q�G��O�R�F�D�O��D�U�H�D��S�D�U�W�Q�H�U�V��D�Q�G��D�W�W�H�Q�G�D�Q�F�H��D�W��R�U��S�O�D�Q�Q�L�Q�J��R�I��O�R�F�D�O��H�Y�H�Q�W�V��W�K�D�W��H�Q�F�R�X�U�D�J�H��L�Q�W�H�U�D�F�W�L�R�Q��E�H�W�Z�H�H�Q��W�K�H��J�U�H�D�W�H�U��F�R�P�P�X�Q�L�W�\��D�Q�G��S�U�R�M�H�F�W��U�H�V�L�G�H�Q�W�V���&�R�P�P�X�Q�L�W�\��H�Q�J�D�J�H�P�H�Q�W��L�V��G�H�I�L�Q�H�G��D�V��I�R�O�O�R�Z�V��\r���9�L�V�L�W�V��R�U��P�H�H�W�L�Q�J�V��Z�L�W�K��Q�H�Z��V�H�U�Y�L�F�H��S�U�R�Y�L�G�H�U�V��D�Q�G��R�U��O�R�F�D�O��Y�H�Q�G�R�U�V���F�K�X�U�F�K�H�V���V�F�K�R�R�O�V���H�W�F��\r���$�W�W�H�Q�G�D�Q�F�H��D�W��F�R�P�P�X�Q�L�W�\��R�U�J�D�Q�L�]�D�W�L�R�Q��H�Y�H�Q�W�V��W�K�D�W��Z�R�X�O�G��P�D�N�H��W�K�H��J�U�H�D�W�H�U��F�R�P�P�X�Q�L�W�\��D�Z�D�U�H��R�I��\�R�X�U��S�U�R�S�H�U�W�\�����D�Q�G��W�K�H��Q�H�H�G�V��R�I��\�R�X�U��U�H�V�L�G�H�Q�W�V��\r���3�O�D�Q�Q�L�Q�J��H�Y�H�Q�W�V��W�K�D�W��H�Q�F�R�X�U�D�J�H��W�K�H��J�U�H

10 �D�W�H�U��F�R�P
�D�W�H�U��F�R�P�P�X�Q�L�W�\��W�R��Y�L�V�L�W��D�Q�G��L�Q�W�H�U�D�F�W��Z�L�W�K��S�U�R�M�H�F�W��U�H�V�L�G�H�Q�W�V� � 1�. Resident Problems/Issues. Provide anecdotes (no more than two paragraphs each) describing two resident issues with which you were involved��G�X�U�L�Q�J��W�K�H��U�H�S�R�U�W�L�Q�J��S�H�U�L�R�G� Indicate whether or not the issue was resolved during th�H reporting period. Describe positive and/or negative outcomes. �7�K�H��R�E�M�H�F�W�L�Y�H��R�I��W�K�L�V��L�W�H�P��L�V��W�R��J�L�Y�H��U�H�D�G�H�U�V��R�I��W�K�H��U�H�S�R�U�W a description of your�work and the types of issues dealt with on a daily basis. Unresolved situations will be viewed as examples of difficult problems or circumstances and not as a negative reflection on your efforts. Please be candid in your account, in order to give the reader an accurate description of your work. �'�R��Q�R�W��S�U�R�Y�L�G�H��D�Q�\��S�H�U�V�R�Q�D�O��L�G�H�Q�W�L�I�L�D�E�O�H�L�Q�I�R�U�P�D�W�L�R�Q�� ��Fundraising. List �R�S�W�L�R�Q�D�O��Iundraisingactivities,ifany,completed �Guringthisreportingperiod. Providethe �Qame orbrief descriptionof �Hach �Dctivity, �Wheamount �Rf �Iundsraised, �Dndtheintendeduseofthesefunds. Please �Qotethat fundraising activities must relate to assisting the��U�H�V�L�G�H�Q�W�V��W�R��D�J�H��L�Q��S�O�D�F�H�� Examples of items that you might assist in fundraising include but are not limito: Another part-time Service Coordinator or aide��S�R�V�L�W�L�R�Q Exercise equipment Blood pressure machine for health clinic use Ramp to make the project or immediate area more accessible Purchase or lease of a van Creation of �F�R�P�S�X�W�H�U��&�H�Q�W�H�U�and purchase of computer equipment Examples of items that you should not directly engage in fundraising activities��I�R�U��L�Q�F�O�X�G�H: Holiday parties Large screen TVs for community rooms DVD players Pianos and organs Bingo sets Page � of �Form HUD������������� �$�G�G�L�W�L�R�Q�D�O��,�Q�I�R�U�P�D�W�L�R�Q�� Provide any other information relevant to the administration and performance of the Service Coordinator Program. Provide any recommended "Best Practices" you have found to be effective in providing service coordination and promoting independent living for the residents. Examples of your "Best Practices" will be essential in helping others develop��H�I�I�H�F�W�L�Y�H��6�H�U�Y�L�F�H��&�R�R�U�G�L�Q�D�W�R�U��S�U�R�J�U�D�P�V��D�Q�G��R�E�W�D�L�Q�L�Q�J��Q�H�H�G�H�G��U�H�V�R�X�U�F�H�V����